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/ How RMT Reduces Risks After Spinal Cord Injury

How RMT Reduces Risks After Spinal Cord Injury

Man in wheelchair using a respiratory muscle training device with stats showing 113% stronger inspiratory muscles after SCI
Recently Reviewed: November 08, 2026 Uploaded on:
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Nina Bausek, PhD

Chief Scientist

With 10 years of experience in respiratory health research, Dr. Nina provides expert review and validation to ensure accuracy, clarity, and scientific integrity in medical content.
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Mark A Carbone

Chief Executive Officer

Mark A. Carbone is the CEO of PN Medical, where he drives innovation in cardiopulmonary health with advanced respiratory muscle training devices.
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Evidence-Based
Key Takeaways
  • Around 15 million people live with a spinal cord injury (SCI), and respiratory complications are the leading cause of death due to weakened breathing and coughing muscles.
  • Respiratory Muscle Training (RMT) using devices like The Breather offers a drug-free, evidence-based way to prevent airway collapse and improve mucus clearance.
  • A case study of a 50-year-old patient showed massive improvements using a routine of just 2 sets of 10 breaths, twice a day, 5 days a week.
  • After 6 weeks of RMT, the patient's inspiratory strength increased by 113%, expiratory strength rose by 117%, and cough flow improved by 67%, significantly lowering infection risks.

Man in wheelchair using a respiratory muscle training device with stats showing 113% stronger inspiratory muscles after SCI

A Spinal Cord Injury (SCI) changes everything in an instant. Beyond the visible challenges of mobility, one of the most critical, yet often overlooked, impacts is on a person’s ability to breathe.

In fact, about 15 million people on Earth are living with SCI, and respiratory complications are the leading cause of mortality for those living with SCI. Because the muscles used for breathing and coughing are often weakened or paralyzed, the risk of pneumonia and airway collapse becomes a daily concern.

However, recent clinical evidence shows that targeted Respiratory Muscle Training (RMT) can significantly change these outcomes. [1]

The hidden danger: Respiratory failure in SCI

When a spinal cord injury occurs, the nerves connecting the brain to the respiratory muscles can be damaged. This often leads to:

  • Poor Pulmonary Hygiene: An inability to clear mucus from the lungs.

  • Weakened Coughing: Without a forceful cough, simple secretions can lead to life-threatening infections.

  • Airway Collapse: Weakened muscles make the chest wall unstable, increasing the effort required just to take a single breath.

Infographic of lungs and airway showing three respiratory risks after spinal cord injury: poor pulmonary hygiene, weak cough, airway collapse

Infographic of lungs and airway showing three respiratory risks after spinal cord injury: poor pulmonary hygiene, weak cough, airway collapse.

Case study: A 50-Year-Old’s journey to better health

A study published in the International Journal of Multidisciplinary Research followed a 50-year-old patient who suffered quadriparesis (limb weakness) after a motorbike accident. He struggled with weak respiratory muscles and found it nearly impossible to clear his throat or chest.

The intervention was simple: he began using The Breather for RMT. His routine consisted of:

  • Frequency: 2 sets of 10 breaths, twice a day.

  • Schedule: 5 days per week.

  • Focus: Diaphragmatic breathing combined with resistance training.

Hands holding a respiratory muscle training device with a routine of 2 sets of 10 breaths twice daily, 5 days per week

Hands holding a respiratory muscle training device with a routine of 2 sets of 10 breaths twice daily, 5 days per week.

Results that save lives

After just six weeks of using The Breather, the patient’s improvements were nothing short of remarkable:

  • Inspiratory Strength: Increased by 113%.

  • Expiratory Strength: Increased by 117%.

  • Cough Flow: Improved by 67%.

Bar chart comparing baseline and 6-week results: inspiratory strength up 113%, expiratory strength up 117%, cough flow up 67%

Bar chart comparing baseline and 6-week results: inspiratory strength up 113%, expiratory strength up 117%, cough flow up 67%.

By strengthening the muscles used to inhale and exhale, the patient significantly lowered his risk of pneumonia and other pulmonary complications.

Why The Breather matters

For someone with a spinal cord injury, a stronger breath isn't just about comfort; it’s about survival. Improving cough effectiveness means the body can better defend itself against infections.

The Breather provides a drug-free, evidence-based way to rebuild that strength. Whether you are a clinician looking for better patient outcomes or an individual reclaiming your health, RMT is a vital tool in the recovery journey.

References

[1]. Respiratory muscle training for cervical spinal cord injury

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